Medical Denials Specialist

Job SummaryWe are seeking a highly organized and detail-oriented Medical Billing Specialist to join our team at TeamHealth. In this role, you will be responsible for reviewing carrier denials and ensuring accurate and efficient processing of invoices.Key ResponsibilitiesReview ETM task lists, comments, and rebills claims as necessary to ensure accurate and...

Job Summary:UofL Health is seeking a highly skilled Clinical Appeals Manager to join our team. As a key member of our Revenue Cycle department, you will be responsible for managing a team of clinical reviewers and overseeing facility clinical claim denials.Key Responsibilities:Denial Resolution: Develop strategies to overturn insurance payor processing and...

Job Summary:UofL Health is seeking a highly skilled Clinical Appeals Manager to join our Revenue Cycle team. As a key member of our team, you will be responsible for managing a team of clinical reviewers and overseeing facility clinical claim denials.Key Responsibilities:Denial Resolution: Develop strategies to overturn insurance payor processing and...

Job Summary:CareRing Health, LLC is seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and collection of medical claims.Responsibilities:Claims Submission: Submit medical claims to insurance companies and government programs in a...

{"title": "Accounts Receivable Representative II", "description": "Job SummaryThe Accounts Receivable Representative II plays a critical role in supporting the UofL Physicians CBO in various financial, clerical, and administrative duties. This experienced role is responsible for researching and following up on specialty or payer-specific denials, appealing...

Job SummaryWe are seeking a highly organized and detail-oriented Medical Billing Specialist to join our team at TeamHealth. In this role, you will be responsible for reviewing carrier denials, maintaining accuracy and production, and ensuring invoices are processed efficiently.Key ResponsibilitiesReview ETM task lists, comments, and rebills claims as...

Job SummaryWe are seeking a skilled Medical Billing Specialist to join our team at Randstad. As a Medical Billing Specialist, you will be responsible for processing and managing medical claims and invoices for healthcare services provided to patients.Key ResponsibilitiesReview and verify patient demographic and insurance information for accuracy.Code and...

Norton Healthcare is seeking a skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for processing and managing medical claims in accordance with commercial payor requirements. Your primary goal will be to ensure that claims are processed accurately and timely, while maintaining high-quality reviews and...

Job SummaryUofL Health is seeking a highly skilled Clinical Appeals Manager to oversee the clinical appeals team and develop strategies to overturn insurance payor processing denials. The successful candidate will have a strong background in clinical nursing and experience with appeals and denial processing.Key ResponsibilitiesOversee the clinical appeals...

Job Title: Refile Claims SpecialistJob Summary: We are seeking a highly organized and detail-oriented Refile Claims Specialist to join our team at TeamHealth. As a key member of our team, you will be responsible for working with denial reports, correcting and refiling claims based on denial or rejection, and ensuring clear documentation is maintained for all...

Key Responsibilities:Obtain and verify precertifications or referrals for medical procedures, surgeries, and tests as required by insurance providers.Collaborate with physicians, nurses, and other clinical staff to gather necessary clinical information for precertification requests.Track and monitor pending authorizations and...

Precertification Coordinator Job DescriptionSenta Partners is seeking a detail-oriented and organized Precertification Coordinator to join our team. As a key member of our healthcare team, you will be responsible for ensuring timely and accurate precertification and authorization of medical procedures, surgeries, and tests.Key Responsibilities:Authorization...

Accounts Receivable SpecialistWe are seeking a highly skilled Accounts Receivable Specialist to join our team at LHC Group in Louisville, KY. As a key member of our HCBS Division, you will play a critical role in ensuring timely and accurate payment of claims.About the RoleAs an Accounts Receivable Specialist, you will be responsible for conducting thorough...

About the RoleWe are seeking a highly skilled Payer Services Specialist to join our team at Trilogy Health Services. As a Payer Services Specialist, you will play a critical role in ensuring timely authorization and reimbursement for our residents' healthcare services.Key ResponsibilitiesPerform tasks related to prior authorizations, recertifications, and...

Job SummaryWe are seeking a skilled Coding Specialist II to join our team at CommonSpirit Health. As a Coding Specialist II, you will play a critical role in ensuring the accuracy and compliance of our medical coding practices.Key ResponsibilitiesAbstract information from service documentation and assign appropriate CPT, ICD-9/10, and HCPCS codes into the...

SummaryWe are hiring for an Accounts Receivable Specialist in Louisville, KY for our HCBS Division.At LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. We strive to...

SummaryWe are hiring for an Accounts Receivable Specialist in Louisville, KY for our HCBS Division.At LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. We strive to...

Job SummaryThe Clinical Utilization Review Specialist performs activities that support the Utilization Management functions at UofL Health. This role is responsible for delivering the Utilization Management process, including making clinical recommendations regarding medical necessity for admission and continued stay, screening patients for client-specific...

Job Title: Medical Imaging SpecialistSummit Medical Staffing Allied is seeking a Medical Imaging Specialist for a travel job in Louisville, Kentucky.Job Description & RequirementsSpecialty: Medical ImagingDiscipline: Allied Health ProfessionalShift: 12 hours, nightsEmployment Type: TravelCertifications required: BLS, ARRT (CT) experienced, KY state...

Job Summary:This role is responsible for working denial reports and correcting/refiling claims based on denial or rejection and eligibility responses. The ideal candidate will have strong analytical skills and be able to identify the root cause of denials and take corrective action.Key Responsibilities:Identify and resolve denial issues by analyzing...